My hat goes off to kiddy shrinks. It’s a tough field, full of issues we don’t see in adult psychiatry.

Our comment section often buzzes with talk about the over-diagnosis of bipolar disorder in children and the ethics of giving psychotropic medications to children. The Shrink Rappers never comment on these things. Why? Because we don’t treat children. I have no idea if the children being treated are mis-diagnosed, over-diagnosed, wrongly-diagnosed, or if the increase in treatment represents a good thing—- perhaps children who would have suffered terribly now are feeling better due to the option of medications. I’ve certainly had adult patients tell me their children were treated with medications, the children have often eventually stopped the medications and emerged as productive adults. Would they have outgrown their issues anyway. Or did the treatment they received switch them from a bad place to a good place and enable them to carry on in a more adaptive way? Ugh, my crystal ball is on back-order at Amazon!

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